The Pioneer Square Clinic is a satellite clinic of Harborview Medical Center located in the heart of Pioneer Square. Patients are typically under privileged, underserved, men and women who comprise part of Seattle's indigent population. They are often homeless or living in low-income housing. Many have mental health or substance abuse issues or both. Residents will learn to provide health care to homeless clients as well as solid skills in primary care. While extremely rewarding, it can be challenging developing a continuity panel in this environment due to the socio-economic status of the patients. For residents interested in homeless healthcare or medical needs of underserved populations, this would be an ideal continuity clinic.